[ Hôpital de district de Katuba à Lubumbashi (République Démocratique du Congo) : Analyse de l’adéquation entre la capacité et les besoins d’hospitalisation ]
Volume 24, Issue 3, October 2018, Pages 1148–1154
Louis Sumba Chenge1, Luboya Numbi Oscar2, and Faustin Chenge Mukalenge3
1 Département de Statistique, Institut Supérieur de Statistique de Lubumbashi, RD Congo
2 Ecole de Santé Publique, Faculté de Médecine, Université de Lubumbashi, RD Congo
3 Ecole de Santé Publique, Faculté de Médecine, Université de Lubumbashi, RD Congo
Original language: French
Copyright © 2018 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The aim of this study was to assess the capacity of the Katuba district hospital to address felt needs for hospitalization of patients. To do it, information on the activity of hospitalization contained in the registers of patients and the reports of the district medical officer were collected and used to determine indicators related to the hospitalization. The queuing model was used to determine the daily characteristics of the hospitalization. As results, the initial bed occupancy rates in different inpatient services were 162 % in the pediatrics ward, 98 % in the maternity, 97 % in the surgery ward, 43 % in the male internal medicine ward and 43 % in the female internal medicine ward. According to needs of hospitalization, redistribution of beds was proposed and returned the above bed occupancy rates respectively to 94 %, 94 %, 87 %, 91 % and 85 %. The queuing model applied on each inpatient service revealed that the daily average numbers of patients awaiting an available bed are respectively of 9, 11, 4, 8, and 4, with a waiting time respectively estimated at 2,26 ; 2,69 ; 6,1 ; 8,16 and 5,48 days. Definitely, disparities of the initial bed occupancy rates highlight an inefficient distribution of beds between inpatient services, and the fact that patients wait for days before being admitted to hospital indicates that the capacity of the hospital is insufficient and should be improved.
Author Keywords: Assessment of the Capacity, District hospital, Needs for hospitalization, Hospital bed management, Bed occupancy rate, Queuing model.
Volume 24, Issue 3, October 2018, Pages 1148–1154
Louis Sumba Chenge1, Luboya Numbi Oscar2, and Faustin Chenge Mukalenge3
1 Département de Statistique, Institut Supérieur de Statistique de Lubumbashi, RD Congo
2 Ecole de Santé Publique, Faculté de Médecine, Université de Lubumbashi, RD Congo
3 Ecole de Santé Publique, Faculté de Médecine, Université de Lubumbashi, RD Congo
Original language: French
Copyright © 2018 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The aim of this study was to assess the capacity of the Katuba district hospital to address felt needs for hospitalization of patients. To do it, information on the activity of hospitalization contained in the registers of patients and the reports of the district medical officer were collected and used to determine indicators related to the hospitalization. The queuing model was used to determine the daily characteristics of the hospitalization. As results, the initial bed occupancy rates in different inpatient services were 162 % in the pediatrics ward, 98 % in the maternity, 97 % in the surgery ward, 43 % in the male internal medicine ward and 43 % in the female internal medicine ward. According to needs of hospitalization, redistribution of beds was proposed and returned the above bed occupancy rates respectively to 94 %, 94 %, 87 %, 91 % and 85 %. The queuing model applied on each inpatient service revealed that the daily average numbers of patients awaiting an available bed are respectively of 9, 11, 4, 8, and 4, with a waiting time respectively estimated at 2,26 ; 2,69 ; 6,1 ; 8,16 and 5,48 days. Definitely, disparities of the initial bed occupancy rates highlight an inefficient distribution of beds between inpatient services, and the fact that patients wait for days before being admitted to hospital indicates that the capacity of the hospital is insufficient and should be improved.
Author Keywords: Assessment of the Capacity, District hospital, Needs for hospitalization, Hospital bed management, Bed occupancy rate, Queuing model.
Abstract: (french)
Cette étude a consisté à vérifier si la capacité de l’hôpital Katuba est suffisante pour faire face aux besoins d’hospitalisation de la population. Pour ce faire, des informations sur l’activité d’hospitalisation contenues dans les registres de l’hôpital et rapports du bureau central du district sanitaire de Katuba ont été recueillies et servi de base au calcul des mesures de l’activité d’hospitalisation. Les modèles mathématiques des files d’attente ont permis la détermination des caractéristiques quotidiennes du phénomène d’hospitalisation. Les taux d’occupation des lits initiaux conformes à la répartition des lits entre les différents services hospitaliers sont de 162% en pédiatrie, 98% en maternité, 97% en chirurgie, 43% en médecine interne hommes et 43% en médecine interne femmes. La répartition proposée, adaptée aux besoins d’hospitalisation dans chaque service, a ramené ces taux respectivement à 94%, 94%, 87%, 91% et 85%. Les caractéristiques quotidiennes du phénomène d’hospitalisation au sein de ces différents services déterminées en application de la théorie des files d’attente sont notamment les nombres moyens des patients en attente d’un lit disponible, soit respectivement 9, 11, 4, 8 et 4, ainsi que leur durées d’attente, soit respectivement 2,26 ; 2,69 ; 6,1 ; 8,16 et 5,48 jours. Ainsi, la disparité des taux d’occupation des lits initiaux met en évidence une répartition inefficiente des lits entre les services hospitaliers ; l’existence des patients en attente d’une hospitalisation pendant plus ou moins longtemps est un signe que la capacité hospitalière est insuffisante et mérite d’être améliorée.
Author Keywords: Evaluation de la Capacité, Hôpital de District, Besoins quotidiens d’hospitalisation, Gestion des lits hospitaliers, Taux d’occupation des lits, Modèles des files d’attente.
How to Cite this Article
Louis Sumba Chenge, Luboya Numbi Oscar, and Faustin Chenge Mukalenge, “Katuba district hospital in Lubumbashi (Democratic Republic of Congo) : Analysis of adequacy between capacity and need for hospitalization,” International Journal of Innovation and Applied Studies, vol. 24, no. 3, pp. 1148–1154, October 2018.
